JACOB MICHAEL LEWIS

SANTA ROSA, CA
NPI1306430566
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-02-26
Last Update Date2021-02-26
Business Address
JACOB MICHAEL LEWIS
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
Mailing Address
JACOB MICHAEL LEWIS
634 PRESSLEY ST
SANTA ROSA, CA 95404-5526
Phone number: 707-573-6955
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